Average Medicaid Tooth Extraction Payments
Typical Medicaid Tooth Extraction reimbursement across 5,267 cities
Avg. Medicaid Paid
$90.73
Price Range
$0.00 – $570.06
Total Claims
36.2M
Cities
5267
Typical Payment Range
Typical Medicaid Tooth Extraction payments fall between $51.28 and $99.39 per claim (median: $64.79). The top 10% of payments exceed $134.20.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Surgical or simple removal of a tooth. Includes wisdom tooth extraction and other dental extractions.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Supply, NC | $79.36 | $55.48 – $80.99 | 421 | 2 |
| Umatilla, OR | $0.47 | $0.47 – $0.47 | 422 | 1 |
| Abemarle, NC | $65.80 | $65.80 – $65.80 | 423 | 1 |
| Smithfield, VA | $153.88 | $153.88 – $153.88 | 424 | 1 |
| Lyndhurst, NJ | $94.13 | $75.61 – $99.12 | 424 | 2 |
| Arlington Hts, IL | $50.06 | $48.44 – $51.24 | 424 | 2 |
| Port Chester, NY | $53.78 | $35.67 – $150.68 | 425 | 3 |
| Hardeeville, SC | $87.41 | $87.30 – $87.49 | 425 | 3 |
| John Day, OR | $1.64 | $1.64 – $1.64 | 425 | 1 |
| Norwood, CO | $95.63 | $0.00 – $99.37 | 425 | 2 |
| Bay Point, CA | $57.13 | $57.13 – $57.13 | 425 | 1 |
| Brattleboro, VT | $71.75 | $47.18 – $75.76 | 427 | 2 |
| Rifle, CO | $114.22 | $57.94 – $180.00 | 427 | 3 |
| Vieques, PR | $44.22 | $44.22 – $44.22 | 427 | 1 |
| Monroe, NJ | $95.79 | $95.79 – $95.79 | 428 | 1 |
| Tunkhannock, PA | $68.09 | $68.09 – $68.09 | 428 | 1 |
| Lake Placid, NY | $305.50 | $305.50 – $305.50 | 428 | 1 |
| San Juan Capistrano, CA | $55.27 | $55.19 – $57.40 | 429 | 2 |
| Devon, PA | $47.66 | $47.66 – $47.66 | 429 | 1 |
| Guthrie, OK | $117.02 | $114.37 – $117.66 | 430 | 2 |
| Addison, TX | $88.45 | $81.10 – $133.89 | 431 | 2 |
| North Highlands, CA | $24.30 | $0.00 – $26.31 | 431 | 4 |
| Snow Shoe, PA | $63.07 | $63.07 – $63.07 | 431 | 1 |
| Davenport, FL | $59.28 | $29.97 – $96.74 | 432 | 3 |
| Shakopee, MN | $116.83 | $116.83 – $116.83 | 432 | 1 |
| Tripler Amc, HI | $50.24 | $50.24 – $50.24 | 432 | 1 |
| Fairview, TN | $34.43 | $34.43 – $34.43 | 432 | 1 |
| South Ozone Park, NY | $32.31 | $32.31 – $32.31 | 433 | 1 |
| Corcoran, CA | $113.09 | $0.00 – $118.28 | 433 | 2 |
| Elizabeth, IN | $59.80 | $59.80 – $59.80 | 434 | 1 |
| Iola, KS | $95.77 | $95.77 – $95.77 | 434 | 1 |
| Blanchard, OK | $61.63 | $61.63 – $61.63 | 434 | 1 |
| Olivehurst, CA | $57.06 | $57.06 – $57.06 | 434 | 1 |
| Waller, TX | $124.14 | $124.14 – $124.14 | 434 | 1 |
| Yalesville, CT | $102.25 | $102.25 – $102.25 | 434 | 1 |
| Marysville, OH | $43.79 | $33.25 – $55.64 | 435 | 3 |
| Labelle, FL | $113.22 | $113.22 – $113.22 | 435 | 1 |
| East Syracuse, NY | $167.56 | $167.56 – $167.56 | 436 | 1 |
| Lyndonville, VT | $55.92 | $55.92 – $55.92 | 436 | 1 |
| Little Rock Afb, AR | $68.00 | $68.00 – $68.00 | 436 | 1 |
| Chalfont, PA | $50.82 | $32.05 – $70.29 | 438 | 3 |
| Stoughton, MA | $95.32 | $90.94 – $99.10 | 438 | 2 |
| Upper Chichester, PA | $53.14 | $53.14 – $53.14 | 438 | 1 |
| Bluefield, VA | $44.89 | $44.89 – $44.89 | 439 | 1 |
| Newbury Park, CA | $96.86 | $57.40 – $110.37 | 439 | 2 |
| Venice, FL | $41.08 | $31.81 – $48.96 | 440 | 2 |
| Fort Gordon, GA | $141.81 | $141.81 – $141.81 | 440 | 1 |
| Rogue River, OR | $0.00 | $0.00 – $0.00 | 440 | 1 |
| Raton, NM | $65.48 | $65.48 – $65.48 | 441 | 1 |
| La Quinta, CA | $54.10 | $0.00 – $57.40 | 441 | 4 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| D7140 | Extraction erupted tooth | $62.39 | 23,686,863 | 23,795 |
| D7210 | Extraction surgical | $107.67 | 10,401,864 | 9,633 |
| D7240 | Extraction impacted complete | $224.70 | 3,269,582 | 2,462 |
| D7230 | Extraction impacted partial | $183.08 | 1,015,698 | 1,544 |
| D7111 | Extraction coronal remnant pri | $52.85 | 561,092 | 1,785 |
| D7250 | Surgical removal residual root | $112.93 | 316,096 | 591 |
| D7220 | Extraction impacted soft tiss | $130.41 | 131,703 | 431 |
| D7241 | Extraction impacted w/compl | $234.67 | 32,070 | 71 |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.